Amy Bazelon LCPC, LLC
Amy Bazelon LCPC, LLC is a Community/Behavioral Health Agency in Highland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
839 Moseley RdHighland Park, IL 60035-4635
Phone: (847) 707-5424
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 180.010546 (IL) |
|---|
Record details
| NPI number | 1124521430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Bazelon — Member · (847) 707-5424 |
| NPI enumerated | March 13, 2018 |
| Last updated in NPPES | October 28, 2021 |
| Certification date | October 27, 2021 |
| Mailing address | 839 Moseley Rd, Highland Park, IL 60035-4635 |
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